温州市瓯海区农民对新型农村合作医疗满意度的调查分析

Farmers' satisfaction on the new rural cooperative medical system(NCMS) in Ouhai District of Wenzhou City

目的了解参合农民对新型农村合作医疗(新农合)的满意度,找出目前新农合政策实施中存在的不足。方法采用分层整群抽样的方法,选取温州市瓯海区城区、郊区和山区共647个家庭进行入户问卷调查,内容包括基本信息,对新农合政策、定点医院服务以及报销制度的满意度。结果调查共回收有效问卷624份,其中参合者601人。绝大多数参合者为自愿参合且相信参合有益,并打算来年继续参合。601名参合者中,313人(52.1%)对新农合定点医院提供的服务满意,125人(20.8%)评价一般,163人(27.1%)不满意。271人(45.1%)报销过医疗费用,上年度医疗总费用的平均报销比例为22.1%。172人(63.5%)表示对住院报销总体情况满意,89人(32.8%)感觉一般,还有10人(3.7%)不满意。结论新农合得到了广大农民的普遍认可,但还需在医务人员队伍建设、定点医院的覆盖面、简化报销程序、提高医疗费用特别是门诊费用的报销比例方面进一步改进。

Objective To understand the farmers＇ satisfaction on new rural cooperative medical system（NCMS） and find out shortcomings of NCMS.Methods A stratified and clustered sample of 647 families was recruited from the urban,suburban and mountains of Ouhai District,Wenzhou city.A questionnaire was used to collect their general information,the attitude on NCMS,the view for designated hospitals and reimbursement system.Results A total of 624 valid questionnaires were obtained,with 601 families joined the NCMS.Most of the farmers joined the NCMS voluntarily and believed it was beneficial,and intended to join it in the next year.313（52.1%） farmers were satisfied with the services provided by designated hospitals;125（20.8%） evaluated general;163（27.1%） were dissatisfied.271（45.1%） people who joined the NCMS had been reimbursed for medical expenses,and the average reimbursement ratio was 22.1%.172（63.5%） farmers expressed satisfaction with the reimbursement for hospitalization fee,89（32.8%） felt general,and 10 people（3.7%） dissatisfied.Conclusions The NCMS was generally accepted by the majority of farmers.However,it should be improved in some respects,such as in the medical staff,coverage of designated hospital,simplification of the reimbursement process,raising the proportion of reimbursement particularly for the outpatient costs.